Midway Specialty Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIDWAY SPECIALTY DIAGNOSTICS LLC

Practice address

3255 S US Highway 1
Fort Pierce, FL 34982-6381

Phone

(772) 464-9746

NPI assigned

Nov 22, 2022

Organization subpart

Yes

Parent organization

MIDWAY SPECIALTY CARE CENTER INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anand Sukhram

Title

Ceo

Phone

(772) 464-9746

Specialties & licenses 1

Addresses

Part of

Midway Specialty Care Center Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Midway Specialty Care Center Inc

  • Infectious Disease Physician
  • Fort Pierce, FL
  • NPI 1376970814
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1710696398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E MIDWAY RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827148",
            "telephone_number": "772-464-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826381",
            "telephone_number": "772-464-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY SPECIALTY DIAGNOSTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWAY SPECIALTY CARE CENTER INC",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "SUKHRAM",
        "authorized_official_first_name": "ANAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-464-9746"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midway Immunology and Research Center
• Midway Infectious Diseases, LLC
• Midway Primary Care LLC
• Midway Specialty Care Center Inc
• Midway Specialty Care RX LLC
• Evan Arlene Mighty, A.R.N.P., C.N.M.
• Hannah Millard, OTR/L
• Katrina Miller, COTA/L
• Kristen Sims Miller, CRNA
• Nancy Delva Miller, MSHS

• Clinical Medical Laboratory in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.